healthcosts.net
Repair finger tendon at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,222.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$1,880.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $5,526.53 with MMO — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $334.79 | ↓ -73% |
| Summacare | Preferred | $342.03 | ↓ -72% |
| Summacare | Medicare Advantage Lower Level | $342.03 | ↓ -72% |
| Caresource | Managed Medicaid | $344.83 | ↓ -72% |
| Buckeye | Managed Medicaid | $351.53 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $368.27 | ↓ -70% |
| Molina | Managed Medicaid | $368.27 | ↓ -70% |
| Summacare | Medicare Advantage Psych | $402.91 | ↓ -67% |
| Summacare | Medicare Advantage CNA | $447.27 | ↓ -63% |
| Oscar | All Products | $477.71 | ↓ -61% |
| Summacare | Medicare Advantage MD | $499.89 | ↓ -59% |
| Anthem | Medicare Advantage | $537.21 | ↓ -56% |
| United | Medicare Advantage | $537.21 | ↓ -56% |
| Aetna | Medicare Advantage | $537.21 | ↓ -56% |
| The Health Plan | Medicare Advantage | $537.21 | ↓ -56% |
| Cigna | Medicare Advantage | $537.21 | ↓ -56% |
| Humana | Medicare Advantage HMO | $537.21 | ↓ -56% |
| MMO | Medicare HMO & PPO | $553.33 | ↓ -55% |
| Summacare | Premier | $564.07 | ↓ -54% |
| CommuniCare | Medicare Advantage | $564.07 | ↓ -54% |
| Perennial Health | Medicare Advantage | $580.19 | ↓ -53% |
| The Health Plan | All Products PCP | $590.93 | ↓ -52% |
| The Health Plan | All Products Specialty Physicians | $617.79 | ↓ -49% |
| Aultcare | PPO/HMO | $673.04 | ↓ -45% |
| The Health Plan | All Products Radiation Oncology Physicians | $698.37 | ↓ -43% |
| OHCP | All Products | $731.32 | ↓ -40% |
| Anthem | All Products Mid-Level Non-Facility | $760.55 | ↓ -38% |
| OMAS | All Products | $940.00 | ↓ -23% |
| UNITED | Managed Medicaid | $952.58 | ↓ -22% |
| CARESOURCE | Managed Medicaid | $981.16 | ↓ -20% |
| ANTHEM | Managed Medicaid | $1,000.21 | ↓ -18% |
| MOLINA | Managed Medicaid | $1,000.21 | ↓ -18% |
| AMERIHEALTH | Managed Medicaid | $1,047.84 | ↓ -14% |
| PHPHI | All Products | $1,128.00 | ↓ -8% |
| United | All Products - Mid-Level | $1,251.92 | ↑ +2% |
| MMO | Traditional | $1,316.00 | ↑ +8% |
| GMS | All Products | $1,316.00 | ↑ +8% |
| United | HMO & PPO | $1,391.03 | ↑ +14% |
| United | All Products | $1,391.03 | ↑ +14% |
| Immergrun | All Products | $1,410.00 | ↑ +15% |
| Aetna | All Products First Health | $1,410.00 | ↑ +15% |
| Aetna | Asa | $1,504.00 | ↑ +23% |
| Multiplan | All Products | $1,692.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,880.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $2,698.16 | ↑ +121% |
| UNITED | MEDICARE ADVANTAGE | $2,997.95 | ↑ +145% |
| HUMANA | Medicare Advantage HMO | $2,997.95 | ↑ +145% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +153% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +153% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +153% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +161% |
| Perennial Health | MEDICARE ADVANTAGE | $3,237.79 | ↑ +165% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +166% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +174% |
| MMO | ALL PRODUCTS | $4,898.36 | ↑ +301% |
| MMO | SuperMed | $5,526.53 | ↑ +352% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Repair finger tendon at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,222.00 | $1.10 – $3,095.56 |
| akron general | Akron | $1,222.00 | $1.10 – $3,237.79 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,752.25 | $900.00 – $5,572.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,752.25 | $900.00 – $7,840.20 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,006.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,752.25 | $3,095.56 – $5,572.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,752.25 | $3,095.56 – $5,572.02 |
| University Hospitals Geneva Medical Center | Geneva | $3,006.75 | not published |